Organization
GM REHAB SERVICES LLC
Active
Other names
GM Rehab Services LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GEORGE MWANGI (CEO)
(862) 684-1789
Entity
Organization
Contact information
Practice address
12-45 RIVER RD STE 317, FAIR LAWN, NJ 07410-1812
(862) 684-1789
Mailing address
12-45 RIVER RD STE 317, FAIR LAWN, NJ 07410-1812
(862) 684-1789
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TR00076600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
46TR00076600
NJ LICENSE
NJ
Enumeration date
04/11/2018
Last updated
03/28/2024
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